Clinical Communications: Adults| Volume 43, ISSUE 4, P667-670, October 2012

Rapid Progression of Wellens Syndrome in the Emergency Department


      Background: In 1982, Wellens and colleagues described characteristic electrocardiogram (ECG) findings in angina patients virtually pathognomonic for significant stenosis of the proximal left anterior descending coronary artery and associated with a high risk of acute anterior wall myocardial infarction. Case Report: We present the case of a 74-year-old emergency department patient with classic ECG findings of Wellens syndrome and progression to acute ST elevation within 55 min. Summary: We present this case to increase awareness among emergency physicians of the characteristic findings of Wellens syndrome.


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